MRS. HILLARY MICHELLE MAYBERRY


Address: 4301 W Markham St, Little Rock, AR 72205-7101
Phone: 5016868000

MRS. HILLARY MICHELLE MAYBERRY (NPI# 1649755133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649755133
Entity Type Individual
Full Name MRS. HILLARY MICHELLE MAYBERRY
Other Name MS. HILLARY MICHELLE HANVEY
Credential PA-C
Practice Address 4301 W Markham St
Little Rock
AR 72205-7101
Mailing Address 6249 Heart Stone Dr
Benton
AR 72019-7048
Practice Telephone 5016868000
Mailing Telephone 5015511849
Enumeration Date 2018-10-01
Last Update Date 2018-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4301 W MARKHAM ST
City LITTLE ROCK
State AR
Zip Code 72205-7101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811998487 Jan K Hastings Pharmacist 4301 W Markham St, #522, Little Rock, AR 72205-7101 2005-08-04
1043810971 Prashanth Reddy Damalcheruvu Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7199 2020-10-29
1114533619 Nitesh Gautam Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7101 2020-09-20
1891301818 Rachel Rosenbaum Nurse Practitioner 4301 W Markham St, Little Rock, AR 72205-7101 2020-09-16
1477164861 Ashtyn Leann Knowles Dietitian, Registered 4301 W Markham St, Little Rock, AR 72205-7101 2020-08-11
1700404118 Candace Johnson Social Worker 4301 W Markham St, Little Rock, AR 72205-7101 2020-07-12
1851919245 Omar Alqaisi Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7101 2020-07-11
1295364578 Julie Michelle Nessler Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7101 2020-04-07
1346879079 Brian Wesley Rhea Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7199 2020-04-04
1265060388 Erin Elizabeth Hall Student in an Organized Health Care Education/Training Program 4301 W Markham St, Slot 517, Little Rock, AR 72205-7101 2020-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1093353922 Phil Fagala Pharmacist 614 North Beechwood, Little Rock, AR 72205 2019-12-10
1295391688 Home To Community Living, Inc Physical Therapist 10201 W Markham Street Pulaski, Little Rock, AR 72205 2019-05-12
1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
1457812828 Vincent Battafarano Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 602, Little Rock, AR 72205 2019-03-28
1063978922 Franks Pediatric Occupational Therapy LLC Occupational Therapist 5516 C St, Little Rock, AR 72205 2019-02-15
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881158517 Jordan Lane Milam Physician Assistant 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 2019-01-28
1790252286 Allison Henry Physician Assistant 4301 W Markham St, Little Rock, AR 72205-7101 2018-11-01
1215472436 Faye Mariz Laurio Razon Physician Assistant 4301 W Markham St, #713, Little Rock, AR 72205-7101 2016-12-23
1396115192 Kumar Mahendra Patel Physician Assistant 1 Childrens Way # 210, Little Rock, AR 72202-3500 2015-10-06
1437235207 Zachary S. Webb Physician Assistant 5 Saint Vincent Cir Ste 501, Little Rock, AR 72205-5414 2006-10-27
1720164593 Roger L. Sprague Physician Assistant 2 Shackleford West Blvd, Little Rock, AR 72211-3755 2006-10-27
1710062724 Anderson L Benson Jr. Physician Assistant 4300 W 7th St, Little Rock, AR 72205-5446 2006-10-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033650817 Dickson Orthopedics, Pa Physician Assistant 1416 E Matthews, Suite 200, Jonesboro, AR 72401-4632 2017-03-14
1912455387 Anthony D Long Jr. Physician Assistant 17 Mockingbird Ln, Pine Bluff, AR 71603-6107 2016-09-14
1215233887 Joshua Anthony Trinkle Physician Assistant 224 W. Erie Ave, Harrison, AR 72601 2011-01-31
1831391655 Mandy Suzanne Mooneyham Physician Assistant 3053 N College Ave, Fayetteville, AR 72703-3417 2007-06-04
1487252755 David M Street Physician Assistant 2010 Active Way, Benton, AR 72022-9267 2020-10-09
1407460843 Alexandra Paige Brown Physician Assistant 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 2020-09-02
1013417518 Corey Carver Physician Assistant 1000 S 52nd St, Rogers, AR 72758-8610 2018-02-20
1316485857 Farrah Jennings Physician Assistant 1000 S. 52nd Street, Rogers, AR 72758 2017-02-04
1851764856 Jonathon Michael Mccrary Physician Assistant 5201 Northshore Dr, North Little Rock, AR 72118-5312 2015-11-12
1659790210 Karla Heard Physician Assistant 2717 S 74th St, Fort Smith, AR 72903-5100 2014-04-10
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Competitor

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City LITTLE ROCK
Zip Code 72205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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